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Your Coverage

Drug Plan:
80% coverage to a maximum of $2000.00 per policy year for

  • Most prescriptions drugs or medicines
  • Insulin injectibles
  • Insulin supplies including syringes, needles and diagnostic strips, including glucometers, alcohol swabs and lancets, subject to a maximum of $500.00 per insured per policy year.
  • Allergy serums
  • Oral contraceptives


Exclusion:
  • ALL acne preparations, including ACCUTANE
  • Preventative vaccines , including hepatitis B
  • Contraceptives, other than ORAL
  • Anti smoking remedies
  • Fertility drugs
  • Over the counter products or medicines available without a prescription
Health Plan Reminders:
If you have any questions call 1-800-315-1108
You can view your plan booklet and download claim forms online.